Ohio
Board of Licensing
Greenwalt, Peter-CCF-Lorain
Medical Board - 41.Pa Supervision Agreement
License number
41.14912-SA
Date granted
07/26/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Candace Beury, 5700 Cooper Foster Park Rd, Lorain, OH 44053
ohiolicensing.org
ID 29520737
LAST UPDATED 2026-06-28 08:56:31 UTC
LAST UPDATED 2026-06-28 08:56:31 UTC